Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020
Breast milk is widely recognized as the best source of nutrition for both full term and premature babies. We aimed to identify clinical results of the implementation of a breast milk bank for premature infants under 37 weeks in a level III hospital. 722 neonates under 37 weeks, hospitalized in the N...
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| Format: | Article |
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MDPI AG
2021-06-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/7/2187 |
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| author | Javier Torres-Muñoz Carlos Alberto Jimenez-Fernandez Jennifer Murillo-Alvarado Sofia Torres-Figueroa Juan Pablo Castro |
| author_facet | Javier Torres-Muñoz Carlos Alberto Jimenez-Fernandez Jennifer Murillo-Alvarado Sofia Torres-Figueroa Juan Pablo Castro |
| author_sort | Javier Torres-Muñoz |
| collection | DOAJ |
| description | Breast milk is widely recognized as the best source of nutrition for both full term and premature babies. We aimed to identify clinical results of the implementation of a breast milk bank for premature infants under 37 weeks in a level III hospital. 722 neonates under 37 weeks, hospitalized in the Neonatal intensive care unit (ICU), who received human breast milk from the institution’s milk bank 57% (<i>n</i> = 412) vs. mixed or artificial 32% (<i>n</i> = 229), at day 7 of life. An exploratory data analysis was carried out. Measures of central tendency and dispersion were used, strength of association of odds ratio (OR) and its confidence intervals (95% confidence interval (CI)). 88.5% had already received human milk before day 7 of life. Those who received human milk, due to their clinical condition, had 4 times a greater chance of being intubated (OR 4.05; 95% CI 1.80–9.11). Starting before day 7 of life decreases the opportunity to develop necrotizing enterocolitis by 82% (adjusted odds ratio (ORa) 0.18; 95% CI 0.03–0.97), intraventricular hemorrhage by 85% (ORa 0.15; 95% CI 0.06–0.45) and sepsis by 77% (ORa 0.23; 95% CI 0.15–0.33). Receiving human milk reduces the probability of complications related to prematurity, evidencing the importance that breast milk banks play in clinical practice. |
| first_indexed | 2024-03-10T10:03:44Z |
| format | Article |
| id | doaj.art-942109bd19424591843e428dd6c3961d |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T10:03:44Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-942109bd19424591843e428dd6c3961d2023-11-22T01:42:24ZengMDPI AGNutrients2072-66432021-06-01137218710.3390/nu13072187Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020Javier Torres-Muñoz0Carlos Alberto Jimenez-Fernandez1Jennifer Murillo-Alvarado2Sofia Torres-Figueroa3Juan Pablo Castro4Department of Pediatrics, Health Faculty, School of Medicine, Universidad del Valle, Cali 100-00, ColombiaDepartment of Pediatrics, Health Faculty, School of Medicine, Universidad del Valle, Cali 100-00, ColombiaDepartment of Pediatrics, Health Faculty, School of Medicine, Universidad del Valle, Cali 100-00, ColombiaHealth Sciences Faculty, School of Medicine, Universidad ICESI, Cali 122-135, ColombiaHealth Sciences Faculty, School of Medicine, Universidad ICESI, Cali 122-135, ColombiaBreast milk is widely recognized as the best source of nutrition for both full term and premature babies. We aimed to identify clinical results of the implementation of a breast milk bank for premature infants under 37 weeks in a level III hospital. 722 neonates under 37 weeks, hospitalized in the Neonatal intensive care unit (ICU), who received human breast milk from the institution’s milk bank 57% (<i>n</i> = 412) vs. mixed or artificial 32% (<i>n</i> = 229), at day 7 of life. An exploratory data analysis was carried out. Measures of central tendency and dispersion were used, strength of association of odds ratio (OR) and its confidence intervals (95% confidence interval (CI)). 88.5% had already received human milk before day 7 of life. Those who received human milk, due to their clinical condition, had 4 times a greater chance of being intubated (OR 4.05; 95% CI 1.80–9.11). Starting before day 7 of life decreases the opportunity to develop necrotizing enterocolitis by 82% (adjusted odds ratio (ORa) 0.18; 95% CI 0.03–0.97), intraventricular hemorrhage by 85% (ORa 0.15; 95% CI 0.06–0.45) and sepsis by 77% (ORa 0.23; 95% CI 0.15–0.33). Receiving human milk reduces the probability of complications related to prematurity, evidencing the importance that breast milk banks play in clinical practice.https://www.mdpi.com/2072-6643/13/7/2187human milk banksenteral nutritionbreast milkenterocolitissepsis |
| spellingShingle | Javier Torres-Muñoz Carlos Alberto Jimenez-Fernandez Jennifer Murillo-Alvarado Sofia Torres-Figueroa Juan Pablo Castro Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020 Nutrients human milk banks enteral nutrition breast milk enterocolitis sepsis |
| title | Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020 |
| title_full | Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020 |
| title_fullStr | Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020 |
| title_full_unstemmed | Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020 |
| title_short | Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020 |
| title_sort | clinical results of the implementation of a breast milk bank in premature infants under 37 weeks at the hospital universitario del valle 2018 2020 |
| topic | human milk banks enteral nutrition breast milk enterocolitis sepsis |
| url | https://www.mdpi.com/2072-6643/13/7/2187 |
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